Richard J Bultman, M.D.

NPI #1316946189 in Orange Park, Florida

Provider Information

NPI Number: 1316946189
Entity Type: Individual
Name: Richard J Bultman, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 14, 2005
Last Updated: Feb 1, 2022

Practice Location

Address: 1594 KINGSLEY AVE
City: Orange Park
State: Florida
ZIP Code: 32073-4546
Phone: (904) 264-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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